Field of application
[0001] The present invention regards an orthodontic device and an orthodontic kit for treating
malocclusions according to the preamble of the respective independent claims 1 and
14.
[0002] The orthodontic device and the orthodontic kit, object of the invention, are advantageously
employable in the treatment of dental malocclusions, in particular in mandibular skeletal
correction, so as to remedy Class II malocclusions, and advantageously also Class
III malocclusions, of a patient and to obtain a correct ratio between the teeth of
the maxilla and the teeth of the mandible.
[0003] Therefore, the present orthodontic device and orthodontic kit are inserted in the
industrial field of production of orthodontics apparatuses and devices, in particular
distalizers for treating the Class II malocclusion and advantageously also Class III
malocclusion.
State of the art
[0004] Devices are known in the orthodontics field that are used for restoring dental equilibrium
in the case of malocclusion in a patient, i.e. with an irregular ratio between the
teeth of the maxilla and those of the mandible which generates an imperfect occlusion
of the dental arches. The latter indeed must generally be corrected since it can be
the cause of functional or morphological (structural) disharmony, such to also negatively
affect other anatomic sites of the patient.
[0005] For example, Class II malocclusion is known, also termed retrognathism, characterized
by a mandibular deficit and/or upper maxillary excess. More in detail, in such pathology
the upper arch overlies, in a considerable and evident manner, the teeth of the lower
arch, with lower molars positioned distally with respect to the upper molars and projecting
upper incisors. The chin tends to recede and, generally, the interdental space of
the upper incisor teeth, like that of the lower incisors, is quite pronounced. In
addition, in some cases there can also be a dental overcrowding.
[0006] Also known is Class III malocclusion, also termed prognathism, which, to the contrary
of Class II malocclusion, is characterized by an upper maxillary deficit and/or mandibular
excess. In other words, such pathology is verified when the teeth present on the mandibular
arch are advanced with respect to those of the maxillary arch.
[0007] As anticipated above, for the purpose of correct the malocclusions, and in particular
Class II malocclusion, various orthodontic devices have ideated for distalization,
termed in the jargon "distalizers".
[0008] For example, the orthodontic device described in the patent
EP 1433435 is known. Such device comprises a support body, which is fixed on a molar of an upper
arch of the mouth of the patient.
[0009] In addition, the device comprises a spacer bar connected with a first end to the
support body and fixed with an opposite second end to a canine of the upper arch.
[0010] In particular, the spacer bar comprises on the first end a spherical hinging portion,
inserted within a housing seat made on the support body, and on the second end an
end portion, fixed to the aforesaid canine and comprising a hook for coupling, by
means of an intermaxillary elastic band, the spacer bar itself to a tensioning plate
fixed to a molar of the lower arch.
[0011] In addition, the spacer bar comprises an elongated central portion, extended between
the first and the second end, in order to distribute to the upper molar the mesiodistal
component of the elastic force generated by the intermaxillary elastic band taut between
the lower molar and the upper canine.
[0012] In this manner, the upper arch is thrust in a distal direction, while the lower arch
is thrust in a mesial direction, leading to an enlargement of the mandible along with
a containment of the maxilla and hence correcting the malocclusion.
[0013] The orthodontic device described up to now has proven in practice that it does not
lack drawbacks.
[0014] A first drawback is given by the fact that the spherical articulation created by
the hinging portion and the housing seat of the support body generates an excessive
freedom of rotation of the two components in an occlusogingival direction. Such freedom
of rotation is necessary for the purpose of allowing an increased maneuverability
during the fixing of the end portion of the spacer bar to the upper canine, since
the latter is generally sold already associated with the support body.
[0015] In addition, such freedom of rotation allows executing possible modifications in
the event in which the support body is fixed in an incorrect manner on the upper molar.
[0016] Nevertheless, this aspect ensures that only the mesiodistal component of the force
that acts on the upper canine is transmitted to the upper molar, while the occlusogingival
component is exclusively or mainly absorbed by the upper canine. Generally, one risks
obtaining on the patient the undesired effect of generating the extrusion of the canine.
[0017] A further drawback is given by the fact that, in the same manner, the blocking of
the rotation of the spacer bar around a mesiodistal axis is not allowed. Also in such
case, the twisting moment due to the force that acts on the upper canine is not transmitted
to the upper molar and tends to cause a rotation of the canine towards the interior
of the mouth, which in the jargon is termed torque.
[0018] A further drawback is given by the fact that such devices are not very versatile
and poorly adaptable to all patients, since they are produced in standard dimensions
and moreover the spacer bar cannot be interchanged with respect to the corresponding
support body. Therefore, in the event in which a device is purchased with incorrect
sizes, it is not possible to modify it in order to adapt it to the mouth of the patient,
but it is instead necessary to purchase it again, with a consequent increase of the
already-high costs.
[0019] A further drawback is given by the fact that the aforesaid devices are not easy to
install, since during the fixing of the support body, the spacer bar is already necessarily
associated therewith and can create obstacles for the orthodontist who installs the
device.
[0020] In order to resolve several of the abovementioned drawbacks, the orthodontic device
described in the patent
EP 1649824 is for example known. Such device was modified with respect to the preceding by removing,
from the spherical hinging portion, two opposite caps so as to obtain a spherical
articulation with two flat faces. In particular, such hinging portion is inserted
in the housing seat of the support body.
[0021] An analogous solution is also shown in the documents
US 2020163742 and
US 2022192791. Also the latter known solution has in practice shown that it does not lack drawbacks
and in particular such device does not solve all of the abovementioned problems.
[0022] Indeed, the coupling between the hinging portion and the support body must still
occur before the sale to the final user.
[0023] In addition, even if such shaping of the hinging portion allows reducing the freedom
of rotation of the spacer bar in an occlusogingival direction and around the mesiodistal
axis, there is still the non-negligible rotation angle.
[0024] Also known is a further orthodontic device, described in the document
US 2020085539, which has an orthodontic bar provided with a hinging portion shaped as a pin and
inserted in a housing seat shaped such to allow the rotation around three rotation
axes. In particular, the orthodontic bar can rotate around a first axis defined by
the extension of the pin-shaped hinging portion, around a second axis defined by the
extension of the central portion of the orthodontic bar and a third axis perpendicular
to the first two.
[0025] Such device has the same drawbacks as the orthodontic devices described above. Indeed,
first of all, the hinging portion must necessarily be placed within the housing seat
and removably constrained thereto at the time of installation in order to allow all
the internal walls of the housing seat to limit the rotations of the orthodontic bar
around the respective above-indicated axes.
[0026] Secondly, the possible rotations around the second and the third axis, even if expressly
desired in this case, cause the abovementioned problems of torque and extrusion of
the canine.
Presentation of the invention
[0027] In this situation, the problem underlying the present invention is to eliminate the
drawbacks of the above-described prior art, by providing an orthodontic device and
an orthodontic kit in the treatment of malocclusions, which allow decreasing or preventing
the undesired risk of extrusion of the canine in such treatment.
[0028] A further object of the present invention is to provide an orthodontic device and
an orthodontic kit, which allow decreasing or preventing the undesired risk of torque
of the canine in such treatment.
[0029] A further object of the present invention is to provide an orthodontic device and
an orthodontic kit, which more generally allow decreasing or preventing the tip, torque,
extrusion, intrusion, distalization movements between the two teeth, to which the
device is fixed.
[0030] A further object of the present invention is to provide an orthodontic device and
an orthodontic kit, which allow an improved and more effective distribution of the
forces.
[0031] A further object of the present invention is to provide an orthodontic device and
an orthodontic kit, which allow a greater versatility of use and can be personalized
for the various patients to be treated.
[0032] A further object of the present invention is to provide an orthodontic device and
an orthodontic kit, which allow a greater ease of installation.
[0033] A further object of the present invention is to provide an orthodontic device and
an orthodontic kit, which are inexpensive and simple to attain.
Brief description of the drawings
[0034] The technical characteristics of the invention, according to the aforesaid objects,
are clearly seen in the contents of the below-reported claims and the advantages thereof
will be more evident from the following detailed description, made with reference
to the enclosed drawings, which represent several merely exemplifying and non-limiting
embodiments of the invention, in which:
- figure 1 shows a top view of an orthodontic device in accordance with the preferred
embodiment of the invention with a support body and a spacer bar that are disassembled;
- figures 2a and 2b respectively show a side view of a first embodiment variant and
of a second embodiment variant of the spacer bar of the device of figure 1;
- figures 3a and 3b show a top view of the hinging portion of the spacer bar respectively
in accordance with the first and the second embodiment variant;
- figures 4a and 4b show a vertical section view of a detail of the device of figure
1, respectively in accordance with the first and the second embodiment variant of
the spacer bar;
- figures 5a and 5b show a bottom horizontal section view of a detail of the device
of figure 1, respectively in accordance with the first and the second embodiment variant
of the spacer bar;
- figure 6 shows a view of the attachment body of the device of figure 1 from the side
of the access mouth of the housing seat;
- figure 7 shows a top view of a detail relative to the support body and to a hinging
portion of the spacer bar of the assembled device of figure 1;
- figure 8 shows a vertical section view of the attachment body of figure 6;
- figure 9 shows a side view of the detail of figure 7;
- figure 10 shows a detail of a spacer bar provided with two hooks in accordance with
a further embodiment of the device;
- figure 11 shows a schematic view of the device of figure 1 applied to the mouth of
a patient, which shows the force generated by an elastic pulling element;
- figure 12 shows a schematic view of the device of figure 10 applied to the mouth of
a patient, which shows the forces generated by elastic pulling elements.
Detailed description of a preferred embodiment
[0035] With reference to the enclosed drawings, reference number 1 overall indicates the
orthodontic device for treating malocclusions, object of the invention.
[0036] The device 1, object of the invention, is advantageously intended to be employed
in the field of orthodontics for treating dental malocclusions, in particular in the
mandibular skeletal correction so as to remedy Class II malocclusions, and advantageously
also Class III malocclusions, of a patient and to obtain a correct ratio between the
teeth of the maxilla and the teeth of the mandible.
[0037] For such purpose, the device 1 is advantageously intended to be fixed to a first
tooth D1, in particular a molar of a semi-upper arch of the mouth of a patient in
the case of treatment of Class II malocclusion, and advantageously to a second tooth
D2, in particular a canine of the same semi-arch.
[0038] Hereinbelow, the use examples will be referred to the treatment of Class II malocclusion.
Of course, without departing from the protective scope of the present invention, the
orthodontic device 1 can also be used for treating the Class III malocclusion, for
example by applying it to the lower arch, in a manner opposite that described herein.
[0039] In accordance with the invention, the device 1 is provided with a support body 2,
which comprises an attachment base 20 intended to be fixed to the first tooth D1 and
on which a housing seat 21 is made.
[0040] In addition, the device 1 is provided with a spacer bar 3, intended to be placed
to connect between the support body 2 and the second tooth D2. In particular, the
spacer bar 3 is rotatably connected to the aforesaid support body 2.
[0041] More in detail, the spacer bar 3 comprises a hinging portion 31, rotatably connected
to the support body 2 around a rotation axis R, preferably occlusogingival. In addition,
the hinging portion 31 is at least partially inserted within the housing seat 21 of
the support body 2.
[0042] More in detail, the hinging portion 31 of the spacer bar 3 comprises two opposite
planar surfaces 34, substantially perpendicular to the rotation axis R and a lateral
surface 35, placed to connect the planar surfaces 34.
[0043] Of course, it is intended that possibly the planar surfaces 34 can be connected to
the lateral surface 35 by curved connector surfaces.
[0044] The spacer bar 3 also comprises an elongated central portion 32 mainly extended along
an extension direction D, preferably mesiodistal, starting from said hinging portion
31. Preferably, the central portion 32 has curved shape.
[0045] In addition, the spacer bar 3 comprises an end portion 33, extended starting from
the central portion 32 in opposite position with respect to the hinging portion 31
and intended to be fixed to the second tooth D2. Advantageously, the end portion 33
has elongated shape so as to increase the fixing area to the second tooth D2.
[0046] In accordance with the idea underlying present invention, the lateral surface 35
of the hinging portion 31 has at least partially cylindrical shape.
[0047] In addition, the housing seat 21 of the support body 2 is at least partially counter-shaped
with respect to the hinging portion 31 and preferably substantially to size. In particular,
the housing seat 21 is shaped such to substantially entirely prevent the rotation
of the hinging portion 31 around any axis different from the rotation axis R.
[0048] In this manner, the rotation of the hinging portion 31 around an axis different from
the rotation axis R, for example around a labial axis, perpendicular to the tooth,
remains zero or very small, since it is limited by the interference of the hinging
portion 31 with the housing seat 21 partially counter-shaped thereto and preferably
substantially to size.
[0049] In other words, advantageously, the hinging portion 31 forms, with the housing seat
21, a revolute joint around the rotation axis R. In particular, such revolute joint
prevents any rotation of the spacer bar 3 with respect to the support body 2 except
for the rotation around the rotation axis R, which is permitted.
[0050] In accordance with the preferred embodiment, illustrated in the enclosed figures
6, 7, 8 and 9, the housing seat 21 is internally delimited at least by two abutment
surfaces 23, planar and opposite, which face the planar surfaces 34 of the hinging
portion 31 and are configured for preventing the rotation of the hinging portion 31
around an axis different from the rotation axis R. In particular, the planar surfaces
34 of the hinging portion 31 are placed substantially in contact with or in abutment
against the aforesaid abutment surfaces 23.
[0051] For such purpose, advantageously, the distance between the abutment surfaces 23 of
the housing seat 21 is substantially equal to the distance between the planar surfaces
34 of the hinging portion 31, i.e. in particular to the length of the hinging portion
31 along the rotation axis R.
[0052] Of course, such distances are to be considered net of a minimum clearance dictated
by the processing tolerances, and by the need to allow the insertion of the hinging
portion 31 in the housing seat 21. For example, such clearance (if present) can at
most allow a minimum rotation of the spacer bar 3 in occlusogingival direction and/or
around a mesiodistal axis by an angle with width smaller than 20°, preferably with
width smaller than 15° and still more preferably with width smaller than 10°.
[0053] Advantageously, the housing seat 21 is also internally delimited at least by a slide
surface 24, at least partially cylindrical, which is placed to connect between the
abutment surfaces 23 and faces the lateral surface 35 of the hinging portion 31. Preferably,
the lateral surface 35 of the hinging portion 31 is placed in contact with the slide
surface 24 and is adapted to slide on the latter in the rotation around the rotation
axis R.
[0054] In this manner, the rotation of the hinging portion 31 around an axis different from
the rotation axis R, e.g. around a labial axis, is advantageously limited first of
all by the abutment between the planar surfaces 34 and the abutment surfaces 23 and
secondly by the contact of the lateral surface 35 with the abutment surface 23.
[0055] Advantageously, the elimination or minimization of the possibility of rotating around
an axis different from the rotation axis R allows distributing any occlusogingival
component of a force F applied to the spacer bar 3 in a uniform manner both to the
first tooth D1 and to the second tooth D2. In the event in which the second tooth
D2 is an upper canine, this factor thus allows considerably reducing the risk of extrusion,
since the forces are distributed in an equal manner between the latter and the upper
molar. For the same reason, also the risk of torque of the canine is advantageously
reduced.
[0056] At the same time, the device 1 advantageously and more stably connects the first
tooth D 1 and the second tooth D2 and consequently allows the uniform treatment of
the dental arch part comprised therebetween.
[0057] Advantageously, the support body 2 comprises an access mouth 22 starting from which
the housing seat 21 is extended. In particular, the access mouth 22 has size equal
to or greater than the hinging portion 31 of the spacer bar 3 in order to allow the
passage of the hinging portion 31 itself.
[0058] In particular, the size of the access mouth 22 is such to freely allow the insertion
and the removal of the hinging portion 31 within the housing seat 21. Therefore, when
the device 1 is not fixed to the suitable dental arch, the support body 2 and the
spacer bar 3 are advantageously removably connected to each other.
[0059] In this manner, it is possible to mount the spacer bar 3, by associating it to the
support body 2, directly after the fixing of the latter on the first tooth D1, in
a manner such to allow a wider maneuvering space and thus allow the orthodontist to
have greater ease in the application.
[0060] In addition, it is advantageously possible to easily substitute the spacer bar 3
with another, even if different size, in case of need.
[0061] In operation, in order to install the device 1 in the mouth of a patient, the support
body 2 is first temporarily glued on the first tooth D1, for example by means of a
photopolymerization glue that initially is only applied without polymerization.
[0062] Subsequently, the spacer bar 3 with the hinging portion 31 is advantageously temporarily
inserted in the housing seat 21, in a manner such to verify both the correct positioning
of the support body 2, and the correct size of the spacer bar 2, which otherwise can
be substituted.
[0063] In the event in which the support body 2 is correctly placed on the first tooth D1,
the spacer bar 3 is removed and the support body 2 is fixed on the first tooth D1
by photopolymerizing the glue. Otherwise, the support body 2 can be moved in order
to bring it into the suitable position, before definitively fixing it.
[0064] Subsequently, the spacer bar 3 is newly mounted on the support body 2 and its end
portion 33 is fixed to the second tooth D2.
[0065] When both the support body 2 and the spacer bar 3 are fixed to the respective first
tooth D1 and second tooth D2, the hinging portion 31 remains retained in the housing
seat 21.
[0066] In accordance with a first embodiment variant, illustrated in figures 2a, 3a, 4a
and 5a, the hinging portion 31 has substantially cylindrical shape. In such case,
the lateral surface 35 is preferably extended all around the hinging portion 31 and
the central portion 33 of the spacer bar 3 is advantageously extended therefrom.
[0067] In accordance with a second embodiment variant, illustrated in figures 2b, 3b, 4b,
5b, 7 and 9, the hinging portion 31 comprises a closure surface 36, which is connected
with the lateral surface 35 by a peripheral edge 37. In such case, the hinging portion
31 advantageously has a cylindrical shape from which a portion parallel to the rotation
axis R has been removed. In particular, the closure surface 36 is substantially flat
and is extended to continue the lateral surface 35 into the removed cylindrical portion.
[0068] Advantageously, the central portion 33 of the spacer bar 3 is extended from the closure
surface 36.
[0069] In accordance with the second embodiment variant, the hinging portion 31 is placed
in the housing seat 21 in at least one operating position in which the peripheral
edge 37 of the closure surface 36 is placed at the access mouth 22. In such situation,
the entire closure surface 36 is advantageously coplanar with the peripheral edge
37.
[0070] Alternatively, in the operating position, the peripheral edge 37 of the closure surface
36, and preferably also the entire closure surface 36, is placed within the housing
seat 21. Advantageously, the second embodiment variant has the advantage that it allows
the orthodontist to identify if the spacer bar 3 is placed in the correct operating
position, i.e. in particular with its hinging portion 31 completely inserted in the
housing seat 21.
[0071] In accordance with the preferred embodiment of the present invention, the end portion
33 of the spacer bar 3 comprises at least one hook 38 intended to be associated with
an elastic tensioning element.
[0072] Advantageously, the end portion 33 of the spacer bar 3 comprises an end edge 39 opposite
the hinging portion 31 and advantageously the hook 38 is extended along the extension
direction D starting from the aforesaid end edge 39. Preferably, the hook 38 is extended
in a direction opposite the hinging portion 31 of the spacer bar 3 and is advantageously
substantially symmetric with respect to the extension direction D in order to ensure
the possibility of installation in any dental arch. In particular, the hook 38 has
spherical form, which has the further advantage of reducing the risk of irritating
the oral mucous membranes of the patient in case of rubbing therewith.
[0073] Such configuration advantageously allows increasing the distance, in particular mesiodistal,
between the second tooth D2 and a third tooth D3 to which the elastic tensioning element
is connected. More in detail, the third tooth D3 is situated on the arch opposite
that of the second tooth D2, and in particular it is a lower molar. Consequently,
both the force F generated by the elastic tensioning element, and the application
tilt with respect to a mesiodistal direction, are advantageously increased, as is
illustrated for example in figure 11. Therefore, such configuration also allows increasing
the ratio between the component of the force F along the extension direction D (mesiodistal)
of the spacer bar 3 and the component of the force F along the rotation axis R (occlusogingival),
with respect to a known configuration in which the hook is situated substantially
at the center of the end portion 33.
[0074] In accordance with a further embodiment, illustrated in figure 10, the end portion
33 comprises two of the aforesaid hooks 38, advantageously shaped with curved form
and in particular with facing concavities, i.e. defining a single concavity between
them.
[0075] In such case, a first of the aforesaid hooks 38 is advantageously intended to be
associated with a first elastic tensioning element connected to the third tooth D3,
advantageously adapted to generate a first force F1. For example, the first elastic
tensioning element can be associated with an attachment element to the third tooth
D3 also provided with a respective attachment hook.
[0076] Otherwise, a second of the aforesaid hooks 38 is advantageously intended to be associated
with a second elastic tensioning element connected to the gums of the arch, on which
the second tooth D2 is placed, and is advantageously adapted to generate a second
force F2. For example, the second elastic tensioning element can be associated with
a gum attachment element, i.e. an orthodontic implant of limited size, also provided
with a respective attachment hook.
[0077] In this manner, it is possible to balance the occlusogingival components of the forces
F1, F2 applied by using the first elastic tensioning element and the second elastic
tensioning element, as illustrated for example in figure 12. The latter can be equivalent
or even if different type, i.e. with different dimensions or elastic constant.
[0078] Of course, without departing from the protective scope of the present invention,
it is possible to use the embodiment with two hooks 38 even only with one elastic
tensioning element. In such case, the device 1 advantageously allows selecting such
hook 38 is more suitable for use, based on the dental arch on which the device 1 itself
is positioned.
[0079] In order to increase the ease of positioning of the support body 2, the latter comprises
at least one marking line 25 parallel to one between the rotation axis R and the extension
direction D. In particular, the marking line 25 is made in high-relief, for example
during the forming of the same support body 2, and/or via incision, e.g. by means
of laser incision.
[0080] Preferably, the support body 2 comprises an occlusogingival marking line 25' parallel
to the rotation axis R, in particular placed on the support body 2 centrally along
the extension direction D.
[0081] In addition, the support body 2 advantageously comprises a mesiodistal marking line
25" parallel to the extension direction D, in particular placed on the support body
2 centrally along the rotation axis R. In particular, the mesiodistal marking line
25" is placed at least along a section of the access mouth 22 of the housing seat
21.
[0082] Advantageously, the occlusogingival marking line 25' and the mesiodistal marking
line 25" are perpendicular to each other and identify a central point of the support
body.
[0083] Also forming the object of the present invention is an orthodontic device 1 having
the characteristics previously described in the preferred embodiment, regardless of
the specified form of the hinging portion 31 of the spacer bar 3 (which for example
could even have spherical shape) and comprises at least one hook 38 extended starting
from the end edge 39 of the end portion 33 along said extension direction D in a direction
opposite the hinging portion 31.
[0084] In such case, therefore, the orthodontic device 1 according to the invention comprises
a support body 2, which comprises an attachment base 20 intended to be fixed to a
first tooth D1 and on which a housing seat 21 is made.
[0085] In addition, the device 1 comprises a spacer bar 3, intended to be placed to connect
between the support body 2 and a second tooth D2, in which the spacer bar 3 itself
comprises a hinging portion 31, a central portion 32 and an end portion 33.
[0086] In particular, the hinging portion 31 is rotatably connected to the support body
2 around a rotation axis R and is at least partially inserted within the housing seat
21 of the support body 2. In addition, the central portion 32 is elongated and is
mainly extended along an extension direction D starting from the hinging portion 31.
[0087] In addition, the end portion 33, is extended starting from the central portion 32
in opposite position with respect to the hinging portion 31 and is intended to be
fixed to the second tooth D2. In particular, the end portion 33 comprises at least
one hook 38 intended to be associated with an elastic tensioning element.
[0088] According to the invention, the end portion 33 comprises an end edge 39 opposite
the hinging portion 31 and the hook 38 is extended along the extension direction D
starting from the end edge 39. Preferably, the hook 38 is extended in opposite sense
with respect to the hinging portion 31 and advantageously has spherical shape, in
order to minimize the risk of irritating the oral mucous membranes of the patient
in case of rubbing therewith.
[0089] Such configuration, as stated above, advantageously allows increasing the distance
between the second tooth D2 and a third tooth D3 to which the elastic tensioning element
is connected. More in detail, the third tooth D3 is situated on the arch opposite
that of the second tooth D2, and in particular it is a lower molar. Consequently,
both the force F generated by the elastic tensioning element, and the tilt of application
with respect to a mesiodistal direction, advantageously increase. Therefore, such
configuration also allows increasing the ratio between the component of the force
F along the extension direction D (mesiodistal) of the spacer bar 3 and the component
of the force F along the rotation axis R (occlusogingival), with respect to a known
configuration in which the hook is situated substantially at the center of the end
portion 33.
[0090] Since the orthodontic device 1 described now can be provided with any other characteristic
of the preferred embodiment described above, it will not be further described hereinbelow.
[0091] Also forming the object of the present invention is an orthodontic device 1 having
the characteristics previously described in the preferred embodiment, regardless of
the specified form of the hinging portion 31 of the spacer bar 3 (which could for
example also have spherical form) and has a spacer bar 3 with an end portion 33 comprising
two hooks 38.
[0092] In such case, therefore, the orthodontic device 1 according to the invention comprises
a support body 2, which comprises an attachment base 20 intended to be fixed to a
first tooth D1 and on which a housing seat 21 is made.
[0093] In addition, the device 1 comprises a spacer bar 3, intended to be placed to connect
between the support body 2 and a second tooth D2, in which the spacer bar 3 itself
comprises a hinging portion 31, a central portion 32 and an end portion 33.
[0094] In particular, the hinging portion 31 is rotatably connected to the support body
2 around a rotation axis R and is at least partially inserted within the housing seat
21 of the support body 2. In addition, the central portion 32 is lengthened and is
mainly extended along an extension direction D starting from the hinging portion 31.
[0095] In addition, the end portion 33 is extended starting from the central portion 32
in opposite position with respect to the hinging portion 31 and is intended to be
fixed to the second tooth D2. In particular, the end portion 33 comprises two hooks
38 each intended to be associated with an elastic tensioning element, which is advantageously
intended to be connected to a third tooth D3.
[0096] More in detail, the hooks 38 are shaped with curved form and in particular with facing
concavities, i.e. defining a single concavity between them.
[0097] In such case, a first of the aforesaid hooks 38 is advantageously intended to be
associated with a first elastic tensioning element connected to the third tooth D3,
advantageously adapted to generate a first force F1. For example, the first elastic
tensioning element can be associated with an element of attachment to the third tooth
D3 also provided with a respective attachment hook.
[0098] Otherwise, a second of the aforesaid hooks 38 is advantageously intended to be associated
with a second elastic tensioning element connected to the gums of the arch on which
the second tooth D2 is placed, and is advantageously adapted to generate a second
force F2. For example, the second elastic tensioning element can be associated with
a gum attachment element also provided with a respective attachment hook.
[0099] In this manner, it is possible to balance and preferably cancel the occlusogingival
components of the applied forces F1, F2 by using the first elastic tensioning element
and the second elastic tensioning element. The latter can be equivalent or even of
different type, i.e. with different size or elastic constant.
[0100] Of course, without departing from the protective scope of the present invention,
it is possible to use the embodiment with two hooks 38 even only with one elastic
tensioning element. In such case, the device 1 advantageously allows selecting such
hook 38 is more suitable for use, based on the dental arch on which the device 1 itself
is positioned.
[0101] Since the orthodontic device 1 described now can be provided with any other characteristic
of the preferred embodiment described above, it will not be further described hereinbelow.
[0102] Also forming the object of the present invention is an orthodontic kit for treating
malocclusions which advantageously comprises an orthodontic device 1, or part thereof,
of any type described above.
[0103] According to the invention, the orthodontic kit comprises at least one support body
2 and a plurality of spacer bars 3 of the orthodontic device 1 of any one of the above-described
embodiments. Preferably, the support body 2 and the spacer bars 3 of the kit are disassembled
from each other, such to allow the orthodontist to select the suitable the spacer
bar 3. Advantageously, each of the spacer bars 3 is provided with an elongated central
portion 32 with length different from that of the other said spacer bars 3.
[0104] In this manner, the orthodontic kit advantageously allows not only the interchangeability
of the spacer bars 3, but also the possibility to select the spacer bar 3 with the
length most suitable for the patient without having to purchase new devices in case
of error.
[0105] The invention thus conceived therefore attains the pre-established objects.
1. Orthodontic device for treating malocclusions, which comprises:
- a support body (2), which comprises an attachment base (20) intended to be fixed
to a first tooth (D1) and on which a housing seat (21) is made;
- a spacer bar (3), intended to be placed to connect between the support body (2)
and a second tooth (D2); said spacer bar (3) comprises:
- a hinging portion (31), rotatably connected to said support body (2) around a rotation
axis (R) and at least partially inserted within the housing seat (21) of said support
body (2);
- an elongated central portion (32), mainly extended along an extension direction
(D) starting from said hinging portion (31);
- an end portion (33), extended starting from said central portion (32) in a position
opposite said hinging portion (31) and intended to be fixed to the second tooth (D2);
wherein the hinging portion (31) of said spacer bar (3) comprises:
- two opposite planar surfaces (34), substantially perpendicular with respect to the
rotation axis (R);
- a lateral surface (35), placed to connect the planar surfaces (34);
said orthodontic device (1) being characterized in that the lateral surface (35) of said hinging portion (31) has at least partially cylindrical
shape;
and in that the housing seat (21) of said support body (2) is at least partially counter-shaped
with respect to said hinging portion (31) and substantially to size.
2. Orthodontic device according to claim 1, characterized in that said hinging portion (31) forms, with said housing seat (21), a revolute joint around
said rotation axis (R).
3. Orthodontic device according to claim 1 or 2, characterized in that said housing seat (21) is internally delimited at least by two abutment surfaces
(23), planar and opposite, which face the planar surfaces (34) of said hinging portion
(31) and are configured for preventing the rotation of said hinging portion (31) around
an axis different from said rotation axis (R);
4. Orthodontic device according to claim 3, characterized in that said housing seat (21) is internally delimited at least by a slide surface (24),
at least partially cylindrical, which is placed to connect between said abutment surfaces
(23) and faces the lateral surface (35) of said hinging portion (31).
5. Orthodontic device according to claim 3 or 4, characterized in that the planar surfaces (34) of said hinging portion (31) are placed substantially in
contact with or in abutment against the aforesaid abutment surfaces (23).
6. Orthodontic device according to any one of the claims from 3 to 5, characterized in that the distance between the abutment surfaces (23) of said housing seat (21) is substantially
equal to the distance between the planar surfaces (34) of said hinging portion (31).
7. Orthodontic device according to any one of the preceding claims, characterized in that said support body (2) comprises an access mouth (22) starting from which said housing
seat (21) is extended,
said access mouth (22) having size equal to or greater than the hinging portion (31)
of said spacer bar (3) in order to allow the passage of said hinging portion (31).
8. Orthodontic device according to claim 7,
characterized in that said hinging portion (31) comprises a closure surface (36), which is connected with
the lateral surface (35) by a peripheral edge (37),
wherein said hinging portion (31) is placed in said housing seat (21) in at least
one operating position in which:
- the peripheral edge (37) of said closure surface (36) is placed at said access mouth
(22), or
- the peripheral edge (37) of said closure surface (36) is placed within said housing
seat (21).
9. Orthodontic device according to any one of the preceding claims, characterized in that said end portion (33) comprises at least one hook (38) intended to be associated
with an elastic tensioning element.
10. Orthodontic device according to claim 9, characterized in that said end portion (33) comprises an end edge (39) opposite said hinging portion (31),
wherein said hook (38) is extended along said extension direction (D) starting from
said end edge (39).
11. Orthodontic device according to claim 9 or 10, characterized in that it comprises two of said hooks (38).
12. Orthodontic device according to any one of the preceding claims, characterized in that said support body (2) comprises at least one occlusogingival marking line (25') parallel
to said rotation axis (R).
13. Orthodontic device according to any one of the preceding claims, characterized in that said support body (2) comprises at least one mesiodistal marking line (25") parallel
to said extension direction (D).
14. Orthodontic kit for treating malocclusions characterized in that it comprises at least one support body (2) and a plurality of spacer bars (3) of
the orthodontic device (1) according to any one of the preceding claims.
15. Orthodontic kit according to claim 14, characterized in that each of said spacer bars (3) is provided with an elongated central portion (32) with
length different from that of the other said spacer bars (3).